Active NPI
Jose L Berlioz MD PA
Doing business as Safari Pediatrics
- Neonatal-Perinatal Medicine Physician
- Laredo, TX
National Provider Identifier
1922025998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- JOSE L BERLIOZ MD PA
- Doing business as
- Safari Pediatrics
- Practice address
- 10710 McPherson Rd Ste 101
Laredo, TX 78045-6363 - Phone
- (956) 724-7145
- Fax
- (956) 724-4944
- NPI assigned
- Jul 16, 2006
- Last updated
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Kafati
- Title
- General Manager
- Phone
- (956) 763-6335
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | NU | Primary | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | NU |
Addresses
Primary practice location
10710 McPherson Rd Ste 101
Laredo, TX 78045-6363
Mailing address
PO Box 450594
Laredo, TX 78045-0014
Phone (956) 724-7145
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144557903 | Medicaid | TX | |
| 144557901 | Medicaid | TX | |
| 0036GW | Other | TX | BCBS |
| 144557902 | Medicaid | TX |
Other names 1
- Safari Pediatrics
National Provider Directory
National Provider DirectoryLocations
10710 McPherson Rd
Ste 101
Laredo, TX 78045
Phone (956) 724-7145
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Laredo, TX
- NPI 1700548153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1922025998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450594",
"city": "LAREDO",
"state": "TX",
"postal_code": "780450014",
"telephone_number": "956-724-7145",
"fax_number": "956-724-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MCPHERSON RD STE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456363",
"telephone_number": "956-724-7145",
"fax_number": "956-724-4944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE L BERLIOZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "KAFATI",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "956-763-6335",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144557903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144557901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0036GW",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144557902",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Safari Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Safari Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
- Elva Villa Jordan, DDS
- Judith Ramos Jordan, LPC
- Jorge & Myra Enterprises Inc (All Seasons Home Care)
- Stephen Jory, PT, DPT
- Jose L Berlioz MD PA (Safari Pediatrics)
- Jose N. Garica-Davalos MD (Laredo Medical Optical)
- Jose Roel Maldonado Jr MD PA
- Joseph P Camero MD PA
- Jalkennen Joseph, MD
- Jamy Josey, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.